| NPI | 1548942550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA N MAHDI CEO 202-389-7653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |